| NPI | 1053442905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.092937) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 092937) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-09-07 |